Welcome To PrimeTime Health Plan

Since 1997, more than 20,000 PrimeTime eligible individuals have enrolled in AultCare’s Medicare Advantage plan.
We offer Medicare Advantage plans, along with excellent customer service, to individuals living in Stark and surrounding counties.
Because we are local, many of our members enjoy the added benefit of walking into one of our offices, and getting help from one of
our knowledgeable PrimeTime Health Plan team members.
PrimeTime Health Plan is here to help you get more out of life and your Medicare plan!

PRIMETIME HEALTH PLAN

PrimeTime Health Plan is an HMO-POS plan with a Medicare contract. Enrollment in PrimeTime Health Plan depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.

You must continue to pay your Medicare Part B premium.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

CONTACT PRIMETIME HEALTH PLAN

PrimeTime Health Plan is committed to providing our members timely resolutions for all questions, complaints, or concerns. If you ever have questions or issues with PrimeTime Health Plan, your benefits, or our providers, please let us know so we can help.

Our representatives are available by phone to assist you Monday through Friday, 8:00a.m-8:00p.m. at 330-363-7407 or toll free at 1-800-577-5084 (TTY: 1-800-617-7446). From October 1 – February 14, our representatives are available 7 days a week, 8 a.m. to 8 p.m.

If you would like to meet with a customer service representative in person, you can visit us during our office hours, Monday through Friday. Our office hours are 8:00 a.m. to 4:30 p.m.

SPECIAL COMMUNICATION NEEDS

If you or someone you know requires the assistance of a translator, please contact our Service Center at 330-363-7407 or toll free at 1-800-577-5084 and we will gladly provide one for you. To access our TTY phone line, please dial 330-363-7460 or toll free at 1-800-617-7446 for the hearing impaired.

You are now able to submit feedback about your Medicare health plan or other non-urgent issues directly to Medicare using the Medicare Complaint Form.

NON-DISCRIMINATION NOTICE

PrimeTime Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race,
color, national origin, age, disability, or sex. PrimeTime Health Plan does not exclude people or treat them differently
because of race, color, national origin, age, disability, or sex. PrimeTime Health Plan provides free aids and services
to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters and written
information in other formats (large print, audio, accessible electronic formats, other formats). PrimeTime Health Plan
provides free language services to people whose primary language is not English, such as: Qualified interpreters and
information written in other languages.

If you need these services, or if you believe that PrimeTime Health Plan has failed to provide these services or
discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can contact or
file a grievance with the: PrimeTime Health Plan Civil Rights Coordinator, 2600 6th St. S.W. Canton, OH 44710,
330-363-7456, CivilRightsCoordinator@aultcare.com.
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Civil Rights staff
is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights
electronically through the Office for Civil Rights Complaint Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf,
or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building
Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at
http://www.hhs.gov/ocr/office/file/index.html.